Individual
MRS. JOAN E SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
95 SOLDIERS PASS RD, SUITE A-2, SEDONA, AZ 86336-4781
(602) 508-4843
(602) 508-4830
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 508-4843
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN170802
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
675919
—
AZ
Enumeration date
08/11/2005
Last updated
03/11/2013
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